Erythema nodosum induced by kerion Celsi in a Tunisian child: A case report
نویسندگان
چکیده
A 7-years-old boy consulted us for a scaled plaque of the scalp starting 2 weeks ago. The child used to play with the rabbits according to the mother. Dermatologic examination showed a 3 x 6 cm suppurative and scaly plaque, spangled with pustules, and located on the temporal area of the scalp (Fig. 1). Over the 2 legs, we found a multiple and painful, erythematous subcutaneous nodules (Fig. 2). Mycologic direct examination of scalp lesion showed large-spore ectoendothrix invasion of the hair fragment and Trichophyton Mentagrophites. Histologic examination of skin biopsy of leg lesion was consistent with diagnosis of EN (Fig. 3). No other causes of EN were founded allowing us to retain the diagnosis of erythema nodosum complicating kerion celsi. The child was treated by griseofulvin 20 mg/kg/day associated to econazole nitrate cream for his kerion celsi and by mefenamic acid 500 mg/day for his EN. EN lesions regressed by the 7th day and the kerion lesions resolved without sequelae by the 6th week of antifungal treatment.
منابع مشابه
Kerion caused by Microsporum audouinii in a child.
Kerion celsi is rarely associated with Microsporum audouinii infection. We report the case of a 3-year-old girl with a kerion celsi caused by M. audouinii and successfully treated with oral terbinafine. Fungi identification was made by macro and microscopical colony morphology analyses and molecular (genotypic) studies.
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424 How to cite this article: Torres-Guerrero E, Martínez-Herrera E, Arroyo-Camarena S, Porras C, Arenas R. Kerion Celsi: A report of two cases due to Microsporum gypseum and Trichophyton tonsurans. Our Dermatol Online. 2015;6(4):424-427. Submission: 10.04.2015; Acceptance: 17.06.2015 DOI:10.7241/ourd.20153.114 Kerion Celsi: A report of two cases due to Microsporum gypseum and Trichophyton tons...
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